title: [Successful surgical treatment for Stanford type A acute aortic dissection complicating a loss of consciousness; report of a case].
abstract: An 88-year-old man was transfered to our hospital due to loss of consciousness. Intravenous dopamine was initiated for a shock status and endotracheal intubation was performed. Computed tomography with contrast medium showed Stanford type A acute aortic dissection complicating cardiac tamponade. Because cardiac drainage was not effective, we performed an emergent operation. Intrapericardial cavity was filled with clotted blood. Prosthetic graft replacement of ascending aorta was performed successfully under deep hypothermic circulatory arrest. His clinical course was uneventful and he was discharged on foot without any neurologic deficits.
authors.affiliation: Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Fukunaga
authors.forename: Takashi
authors.initials: T
authors.lastname: Hashimoto
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Ozu
authors.forename: Shigeru
authors.initials: S
authors.lastname: Komori
authors.forename: Yu
authors.initials: Y
authors.lastname: Shomura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Fujiwara
authors.forename: Michihiro
authors.initials: M
authors.lastname: Nasu
authors.forename: Yukikatsu
authors.initials: Y
authors.lastname: Okada
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000601:surgery; D002305:Cardiac Tamponade / Q000209:etiology; D006801:Humans; D008297:Male; D014474:Unconsciousness / Q000209:etiology*